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Internal Carotid Artery Occlusion as a Rare Presentation of Infectious Endocarditis: A Case Report

Year: 2023

Type: article

Abstract: INTRODUCTION: Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival. CASE REPORT: A 50-year-old male presented minimally responsive with a right gaze deviation, left hemiparesis, and a score of 26 on the National Institutes of Health Stroke Scale. A point-of-care echocardiogram showed a large mitral valve vegetation, and computed tomography angiography demonstrated an internal carotid artery occlusion. CONCLUSION: The emergency physician should consider this potentially life-threatening condition and know the fundamental management recommendations once identified.

Source: Clinical Practice and Cases in Emergency Medicine

DOI: 10.5811/cpcem.1489

Authors: Thijs Wolf, Kayla Dewey, David Adler

Institutions: Strong Memorial Hospital, University of Rochester Medicine

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $500